Abstract

Objectives UK policy requires undergraduate medical curricula to equip students to care for dying patients. The educational potential
of autopsy attendance during authentic early experience to learn about the social context of death and dying has not been
fully explored. In this paper the author: (1) explores how meaning is created from autopsies in authentic early experience;
(2) compares views of students, curriculum designers and pathology supervisors; and (3) identifies actual/potential learning
about death and dying.

Methods This paper is based on a qualitative study of authentic early experiences situated in a UK medical school. Semistructured
interviews were conducted with students in year two (n=12), workplace supervisors (n=2) and curriculum designers (n=13). Narrative
analysis was used to contrast empirical data with socio-cultural perspectives on learning. Language and metaphor were used
as tools to interpret knowledge construction and meaning-making in addition to a thematic approach.

Results The autopsy enabled students to learn about death and dying in a social context. Variance between groups in perceptions of
autopsy experiences may reduce educational value. Autopsies were considered by students to be opportunities for ‘meeting’
real people, albeit dead ones, and learning from them. Tensions between lay and medical perspectives influenced learning.

Conclusions Increasing communication and collaboration between medical school curriculum designers and disciplines such as Palliative
Medicine as well as Pathology could address concerns regarding student/doctor competencies to deal with death and dying. Further
research is needed to evaluate changes in curriculum design and to establish if similar concerns are found in other settings.